Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Medical Group

Organization Addiction (Substance Use Disorder) Counselor · NPI 1003672619

Magnolia Medical Group is an Addiction (Substance Use Disorder) Counselor in Denver, Colorado. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1490 N Lafayette St Ste 104
Denver, CO 80218-2391
Phone: (303) 209-5115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1003672619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pradeep Rai — Director · (303) 209-5115
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing addressPo Box 29605, Dept # 800927, Phoenix, AZ 85038-9605

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